Peripheral IV catheter insertion outcomes
Abstract:
Objective: To analyse compliance with the recommendations on the insertion-maintenance of peripheral venous catheter (PVC) and the incidence of complications according to the healthcare department that inserted the PVCs.
Patients and methods: We conducted a prospective cohort follow-up study of PVCs, from their insertion in the emergency or internal medicine (IM) department until their withdrawal.
Results: We monitored 590 PVCs, 274 from the emergency department and 316 from IM. In terms of compliance with the process indicators, there was a cannulation rate in the antecubital fossa of 3.5 and 1.6 per 100 catheters-day (p < .001) in the emergency and IM departments, respectively. The sterile placement rates were 1.6 and 12.4 (p < .001), and the rate for transparent dressing was 2.1 and 11.5 (p < .001) per 100 catheters-day in the emergency and IM departments, respectively. The complications rates showed no differences between the departments. The most common complication was phlebitis (95 cases, 16.1%).
Conclusions: Compliance with the insertion-maintenance recommendations for PVC showed differences between the departments; however, the incidence of complications was similar.
Reference:
López-López C, Collados-Gómez L, García-Manzanares ME, Segura-Paz AM, López-Gutierrez AM, Pérez-García S. Prospective cohort study on the management and complications of peripheral venous catheter in patients hospitalised in internal medicine. Rev Clin Esp (Barc). 2021 Mar;221(3):151-156. doi: 10.1016/j.rceng.2020.05.014. Epub 2021 Jan 29. PMID: 33998463.